Back in March I had the pleasure of recording an interview with my friends and money managers, Josh Saunders and Mark Seither, who host the Wealth Preservation Podcast. In the first episode we talked about my business model and why I do what I do. In the second I talk more about how I have marketed my practice using networking and social media. I have had many friends, family, an
Website >> https://www.wealthpreservationpodcast.com/
Adjustment >> https://www.youtube.com/watch?v=d3x_6hI70Dc
Compliance video >> https://www.youtube.com/watch?v=Ly7kaoIroJ0
Full disclosure, I am a germaphobe and have suppressed my obsessive tendencies since I discovered them as a pre-teen. Like most of us, I was taught about hygiene around the 5th grade. You know, when kids are on the verge of stinking if they don’t shower often enough. Since that time when I learned about bacteria and other germs, I made sure to wash my hands often. Then, one day around 7th grade, I watched an after-school special (Gen X-ers will remember those). It was about a kid who was an obsessive hand-washer due to his OCD. As I watched this kid struggle I had an epiphany. I was that kid! My hands were chapped. I avoided touching things, just in case. I would never drink from someone else’s cup or share a spoon. I was a germaphobe!
A phobia is an extreme or irrational fear. I had taken it to the irrational level thinking everything I was doing could keep me from catching a germ. At the time I realized my folly, I understood that trying to protect oneself completely is impossible. As I have studied, I learned why trying to do so is dangerous. I am afraid that with the response to COVID-19, we are becoming, as a civilized society, germaphobes. The risk of such phobic behavior has the potential to be infinitely more harmful than the novel coronavirus we have been trying to stop.
Immunology is the study of the immune system or how the body responds to foreign substances or infectious organisms. The basic tenets of Immunology concern exposure to a pathogen and the body’s ability to fight it off. There are many weapons against invaders so, keep in mind that I am just touching upon the very basics. B-cells seek out pathogens and attack them. T-cells find infected cells and kill off the cell so the pathogen cannot reproduce. This process can take a week or more. Whenever these types of cells go to work, they create armies of these antibodies and they also record the way they attacked the antigen so that should a person ever be exposed to an antigen again, the body will be ready to the point where the likelihood of another infection is extremely low. This is why when I was a kid and had chickenpox, my parents made my siblings play with me to get it, too. That way, we would all have it and would develop lifelong immunity to the disease. In addition to T and B-cells, and there are many different types, there are also substances that we can ingest that help boost our immune system. This is seen when a newborn, who does not have an active immune system, is given antibodies through her mother’s milk or when people get an immunoglobulin shot.
The key to developing a strong and healthy immune system is to gain exposure to a wide variety of germs and letting our bodies fight off those antigens and build armies against them for the future. If we are never exposed, we cannot develop antibodies to fight off the infection. This is the basis for vaccination, expose a person to a virus so their immune system can develop the antibodies necessary to fight it off if exposed to the virus again. If enough people in a community have developed the antibodies to fight off an infection, herd immunity is achieved and the spread of the disease is negligible.
There are germs on and around us at all times. Most perform a vital function in the balance of life. If a host becomes immunocompromised, germs can proliferate unchecked. We have to keep our immune systems ready to fight off diseases. What we do not exercise becomes weak. If you completely isolated yourself for long enough, you would not be exposed to any new or changing germs. When you entered into society again, you would most likely get sick from some antigen that your peers had already developed immunity against. This is the danger of prolonged social distancing! We need to share our germs to survive as a species. You cannot develop a strong immune system by isolating yourself. Likewise, if we kill off or block the germs we need to maintain ecological balance with copious use of disinfectant wipes, excessive hand sanitizing and washing, and ubiquitous use of masks, we will not only throw off the balance but we will also have a more severe flu and cold season than we have seen in a very long time.
The notion that we need to shelter in place until a vaccine is developed, is preposterous. We are so focused on the virulence of the Coronavirus that we are completely ignoring the fact that now is the time most of us should be sharing and therefore building up immunity to the flus and colds that will hit us later. These are the same flus and colds for which they have never created an effective vaccine. It is shortsighted to focus only on COVID-19, and that is just from an immunological point of view, the social and financial dangers, notwithstanding. Viruses move through communities quickly. If we have not developed herd immunity to COVID-19 at this point, which I truly believe we either have or are close, then let’s fight it head-on. Those with compromised immune systems and others with higher risk factors need not be in the fray. Those are the individuals who should shelter in place. The rest of us need to share our germs. If we remained isolated, there will never be a good time to rebalance.
In my opinion, and I share this with many other professionals who are much smarter and more educated than I, it is now time to ease back into society. It should be a process. Stop wearing your mask unless you are symptomatic, have a high probability of being an asymptomatic carrier, or around people who are known to be susceptible. Ease up on the sanitizing of every surface. Shake hands. Hug. Meet with friends and neighbors. Be social. Obviously, do all of these things with those who do not appear to be at risk or with those who may have been exposed. Staying inside might have been important while we were analyzing the threat and flattening the curve, but now it is time to save lives by not staying in.
We get calls every day asking if we take Kaiser patients. Of course, we do! However, we are not contracted with Kaiser so that is a bit of a misleading statement but let me explain. Kaiser Permanente is one of the largest health care providers and insurance companies in California and its innovation has become revolutionary. Kaiser is both an insurance company and provider of healthcare which has given it a unique way of managing the growing costs of healthcare while still providing quality care.
As a provider, Kaiser does not actually provide chiropractic care. They have acupuncturists, physical therapists, and, of course, all of the traditional medical professionals. At least, as far as I know, they do not employ chiropractors to perform chiropractic care. As an insurance company, they have some policies which include chiropractic care. Kaiser does not actually manage chiropractic benefits for their clients. Instead, they contract out chiropractic benefits to a company named ASH or American Specialty Health. If a chiropractor wants to be on the list of providers for the people who have chiropractic benefits on their Kaiser policy, they must be contracted with ASH.
I am not contracted with ASH nor do I have plans to become contracted with them. ASH is an HMO or health management organization and their model of business is not compatible with mine. HMO’s are willing to cover patients in acute pain who have an injury on their list of conditions suitable for chiropractors to treat. They have models that require justification for care through paperwork. I like more flexibility in treating my patients and I hate extra paperwork. HMO’s have done well in reducing the cost of care for insurance companies. In theory, this means lower premiums and copays for patients.
So, how exactly do I take Kaiser patients? I am glad you asked. First, most Kaiser patients do not actually have chiropractic benefits. So, it makes no difference whatsoever to see an in-network or out-of-network chiropractor. We have a great practice with very affordable fees and super friendly staff. Why wouldn’t you want to see us over anyone else?
For the patients who actually have chiropractic benefits through ASH we can still help. I may not be contracted with ASH and therefore have the privilege of taking a reduced fee in exchange for a policy that will tell me that I can only see a patient six times before having to file another report to get a few more visits until they decide that the patient should be better so they are not paying anymore; then, by the time I get done writing reports and fighting the insurance company, I have wasted enough time and money to make it completely not worth it; but, I can see patients with Kaiser/ASH at no additional cost to the patient.
I routinely accept patients’ regular copays as full payment for care. Compare that to a doc who will take that copay for the six visits the insurance company gives and then charge full price once the insurance company deems their lingering issues resolved. Of course, sometimes patients prefer my monthly care agreement because it works out to be less expensive than paying their copay every time. Either way, it is a better deal for the patient because they are not under the scrutiny of the insurance company but still enjoy the contracted copay or less. In addition, they get great care and it can be completely customized without strict policy guidelines. In that way, we are happy to take care of Kaiser patients and everyone else who has insurance whether we are in-network or not.
As with anything that dominates the twenty-four-hour news cycle, the Coronavirus or COVID-19 has a spectrum of concern. Please educate yourself on this virus by checking out the CDC’s website. I am writing to give my thoughts from a holistic healthcare provider and, hopefully, a reasonable perspective to help you navigate the fear while still protecting yourself.
You are starting to see memes about surviving the latest end of the world. Let’s be honest, every few years the news goes crazy about some infectious disease that could wipe out entire populations. The disease runs its course, many are infected, several die, and the disease gets under control and passes from global consciousness. Some diseases, particularly the ones they create a vaccine for, stay in the public consciousness because of the shot. These are, generally, very nasty viruses. There is definite cause for concern. However, we need to step back and avoid panicking so we can really fight the spread of such diseases.
Many have written articles about how to protect yourself. I would echo those which encourage you to wash your hands often and avoid close contact with potentially infected individuals. However, we still need to live and function in society. The best defense is not a mask, gloves, or boarding yourself up at your house, but a stellar immune system.
Antoine Bechamp in the 19th Century claimed that it wasn’t germs that cause diseases but that leaving our bodies susceptible to disease was the problem. He argued that there are always germs in great supply about and around us and that until we give them a place to thrive, they stay under control. To prove his point he drank a glass of water infected with cholera and never got sick, so the legend goes. He lived into his 90’s so he, at least, had something going for him.
I am not suggesting that anyone take a flight to China, not that there are any available, to prove the superiority of your immune system. However, we can and should do all we can to keep our immune system performing well. I could write a whole article on keeping your immune system healthy. I will sum up some good ways by saying you need to eat well, drink plenty of water, exercise, get enough sleep, avoid sugar and alcohol, and get adjusted.
I know, I am a chiropractor and I always figure out some angle to work adjusting into the solution. The truth is that chiropractic adjustments have been shown to significantly boost one’s immune system.
Right now, the Coronavirus is not really prevalent in our area. There are a few cases that have been quarantined. Health officials are doing a good job of educating people about what they can do if they suspect an outbreak. In our office, we are taking the normal precautions to ensure that we are not a source location. Please, keep up on your care. Staying healthy, like I mentioned earlier, is still the best defense.
If you have never had SI joint pain, you are probably wondering where this particular joint is located. If you have had or currently have SI joint pain, you know it can be a pain in the butt, literally. The Si joint or sacroiliac joint is formed by the sacrum, the trapezoidal bone below the lumbar spine and above the coccyx, and the pelvis, or ilia. There are two joints on either side of the sacrum. The movement of the SI joint is called nutation and it is pretty slight. One does not really even notice the movement until it gets stuck and then it is all too obvious.
A chiropractic adjustment can do wonders to relieve the pain associated with an SI joint that is not moving properly. I have found that using the drop table is particularly effective. I usually follow it up with a side posture adjustment. Sometimes, however, that is not enough. On occasion, I find a stuck SI joint even after the adjustment. In these situations, I look to the pubic symphysis.
The pubic symphysis is a tricky joint. It is formed where the pelvis meets in front. It is a cartilaginous joint that is planar. What I find when something is wrong is one of the pubic rami is higher than the other. Because the pubic symphysis is on the opposite side of the SI joint but still the same bone, if it is not moving right, the Si joint will have problems, too. I use an activator to adjust the pubic symphysis. This is a fairly sensitive area so using the activator makes it more comfortable both physically and socially.
So if you are having problems getting the results you need from a typical SI joint adjustment, have your chiropractor check your pubic symphysis. As with all treatment, it can take several visits before you see significant results. Still, you should start seeing some signs of improvement fairly quickly to help you know you are on the right path.
It can be tough finding a chiropractor that you can trust and who will be the right fit for what you want and need. This list is by no means comprehensive but over the years I have noticed trends that can help you pick the right doctor of chiropractic for you and your family.